| NPI | 1235635996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX T1913) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AL MD.39092) |
| Enumeration Date | 2018-04-02 |
| Last Update Date | 2023-03-06 |