| NPI | 1013128925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301085579) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX V2631) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2025-02-17 |