| NPI | 1245723964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX T0133) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO 0067474) |
| Enumeration Date | 2018-06-07 |
| Last Update Date | 2024-07-16 |