| NPI | 1235497132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX Q1117) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX BP10043200) |
| Enumeration Date | 2012-04-27 |
| Last Update Date | 2022-05-06 |