| NPI | 1013395086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR MD226931) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX T8511) |
| Enumeration Date | 2015-05-11 |
| Last Update Date | 2026-02-11 |