| NPI | 1144219312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX L5168) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO 41351) |
| Enumeration Date | 2005-10-19 |
| Last Update Date | 2023-12-07 |