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 |