| NPI | 1255780276 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101273897) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ 78750) |
| 207Q00000X Family Medicine (Licence: TX s6846) | |
| 207Q00000X Family Medicine (Licence: TX BP10057230) | |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: TX S6846) | |
| Enumeration Date | 2016-06-09 |
| Last Update Date | 2026-01-13 |