| NPI | 1013942317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL OS13038) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX J6020) |
| 207Q00000X Family Medicine (Licence: VA 0102203470) | |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2024-09-30 |