| NPI | 1063492346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 36387) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX N4561) |
| Enumeration Date | 2006-01-20 |
| Last Update Date | 2022-07-21 |