| NPI | 1154482685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101239148) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX K0560) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2025-03-14 |