| NPI | 1003998840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX L3318) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 4301065815) |
| 207QH0002X Family Medicine Hospice and Palliative Medicine (Licence: TX L3318) | |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2023-01-19 |