| NPI | 1114226693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO 2022018070) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX Q3393) |
| 207Q00000X Family Medicine (Licence: FL 130230) | |
| 207P00000X Emergency Medicine (Licence: MO 2022018070) | |
| 207QS1201X Family Medicine, Sleep Medicine (Licence: MO 2022018070) | |
| 207Q00000X Family Medicine (Licence: FL ME130230) | |
| Enumeration Date | 2011-03-23 |
| Last Update Date | 2025-10-16 |