| NPI | 1144518184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2018-02765) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX BP10041433) |
| Enumeration Date | 2011-07-12 |
| Last Update Date | 2021-09-30 |