| NPI | 1235517087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX S0347) |
| Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: TN 56886) |
| 2083X0100X Preventive Medicine, Occupational Medicine (Licence: TX S0347) | |
| Enumeration Date | 2015-05-13 |
| Last Update Date | 2023-02-27 |