| NPI | 1275650152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX S4140) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA MD00047067) |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2024-09-16 |