| NPI | 1225532922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO 2021013359) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX S3727) |
| Enumeration Date | 2018-03-19 |
| Last Update Date | 2023-02-23 |