| NPI | 1144717729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR MD217158) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX BP10071477) |
| Enumeration Date | 2018-04-18 |
| Last Update Date | 2026-03-31 |