| NPI | 1265441661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX S2247) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO 43871) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2021-06-17 |