| NPI | 1184158073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX U4740) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AL MD37636) |
| Enumeration Date | 2017-04-18 |
| Last Update Date | 2023-11-25 |