| NPI | 1285898668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX N9294) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 5101017880) |
| Enumeration Date | 2008-07-15 |
| Last Update Date | 2025-01-23 |