| NPI | 1295399277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX T4967) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX BP10067054) |
| Enumeration Date | 2019-04-25 |
| Last Update Date | 2022-10-07 |