| NPI | 1255325429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX K2315) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 082123) |
| 207Q00000X Family Medicine (Licence: TN 58564) | |
| 207Q00000X Family Medicine (Licence: OH 35.135509) | |
| 207Q00000X Family Medicine (Licence: DE C1-0013036) | |
| Enumeration Date | 2005-09-02 |
| Last Update Date | 2019-09-03 |