| NPI | 1316479033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN 61737) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX T2920) |
| Enumeration Date | 2017-03-31 |
| Last Update Date | 2023-04-04 |