| NPI | 1144471053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX R6268) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PR 27,906R) |
| 207Q00000X Family Medicine (Licence: PR 27383R) | |
| 207Q00000X Family Medicine (Licence: PR 18356) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PR 18356) | |
| Enumeration Date | 2008-10-09 |
| Last Update Date | 2023-05-23 |