| NPI | 1306167085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX P9437) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC MD36123) |
| Enumeration Date | 2010-06-17 |
| Last Update Date | 2022-12-15 |