| NPI | 1154688778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX P8635) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX 566027) |
| Enumeration Date | 2012-04-19 |
| Last Update Date | 2025-09-04 |