| NPI | 1073012977 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX AP136189) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: KY 3012032) |
| 207Q00000X Family Medicine (Licence: MS 902428) | |
| 207Q00000X Family Medicine (Licence: AZ AP10921) | |
| Enumeration Date | 2018-02-06 |
| Last Update Date | 2018-05-16 |