| NPI | 1255710554 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101268354) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX BP10054271) |
| 207Q00000X Family Medicine (Licence: TX R3336) | |
| Enumeration Date | 2015-05-20 |
| Last Update Date | 2023-11-27 |