| NPI | 1124053863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX K0496) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX K0496) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2024-03-07 |