| NPI | 1114314119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX r8415) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01079654A) |
| Enumeration Date | 2015-04-17 |
| Last Update Date | 2023-02-22 |