| NPI | 1245891548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX U7922) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MO 2019023482) |
| Enumeration Date | 2019-06-26 |
| Last Update Date | 2024-10-17 |