| NPI | 1063661148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX N7419) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX BP10032729) |
| Enumeration Date | 2008-09-15 |
| Last Update Date | 2024-12-03 |