| NPI | 1053591032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D0071455) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX S5828) |
| Enumeration Date | 2007-11-07 |
| Last Update Date | 2024-09-11 |