| NPI | 1275853749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301511999) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX P2934) |
| Enumeration Date | 2010-06-08 |
| Last Update Date | 2025-05-09 |