| NPI | 1073803813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX T3786) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO 0054008) |
| Enumeration Date | 2011-04-13 |
| Last Update Date | 2023-10-05 |