| NPI | 1255725222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NM MD2023-1497) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX R8870) |
| Enumeration Date | 2015-03-26 |
| Last Update Date | 2024-01-09 |