| NPI | 1154551752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: HI MD22474) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX P4791) |
| Enumeration Date | 2009-07-17 |
| Last Update Date | 2022-07-25 |