| NPI | 1225295421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX Q6512) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MS 22713) |
| 207Q00000X Family Medicine (Licence: SC 33484) | |
| 207Q00000X Family Medicine (Licence: LA MD.230588) | |
| Enumeration Date | 2008-05-16 |
| Last Update Date | 2022-07-21 |