| NPI | 1316138597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX N8889) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 2008-00179) |
| 207Q00000X Family Medicine (Licence: WA MD61438714) | |
| 207V00000X Obstetrics & Gynecology (Licence: TX BP1-0029597) | |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2025-07-22 |