| NPI | 1033255674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX R8109) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NE 24453) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2023-08-01 |