| NPI | 1154884054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX T6899) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX T6899) |
| 208D00000X General Practice (Licence: TX T6899) | |
| Enumeration Date | 2019-04-09 |
| Last Update Date | 2024-04-08 |