| NPI | 1184935199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX U2676) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA OS018749) |
| 207Q00000X Family Medicine (Licence: AL DO 1454) | |
| Enumeration Date | 2010-06-24 |
| Last Update Date | 2023-08-14 |