| NPI | 1083838494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX P9566) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ 34482) |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2023-03-07 |