| NPI | 1174961726 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX Q8338) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX BP10046114) |
| Enumeration Date | 2013-06-05 |
| Last Update Date | 2024-02-06 |