| NPI | 1033597406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX R8313) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: UT 10623379-1205) |
| Enumeration Date | 2015-05-18 |
| Last Update Date | 2024-11-25 |