| NPI | 1184987406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX P8746) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX BP10044619) |
| Enumeration Date | 2012-06-21 |
| Last Update Date | 2024-11-18 |