| NPI | 1073104576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX 1025719) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX 1025719) |
| Enumeration Date | 2021-01-28 |
| Last Update Date | 2022-06-16 |