| NPI | 1033390828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX P3938) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA mt185737) |
| 207Q00000X Family Medicine (Licence: NJ 25MA08439800) | |
| Enumeration Date | 2007-11-20 |
| Last Update Date | 2021-06-14 |