| NPI | 1194722876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX L5684) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 59608) |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2025-03-27 |