| NPI | 1134195993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX L2848) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL OS5521) |
| 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: TX L2848) | |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2023-11-22 |