| NPI | 1144928367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX 1110549) |
| Additional Taxonomies | 261QA0005X Clinic/Center, Ambulatory Family Planning Facility (Licence: TX 1110549) |
| Enumeration Date | 2023-02-16 |
| Last Update Date | 2025-12-09 |