| NPI | 1053738070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX R0098) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA OP60803028) |
| Enumeration Date | 2014-03-27 |
| Last Update Date | 2023-12-08 |