| NPI | 1225003270 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX P5311) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD420822) |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2024-04-29 |