| NPI | 1326368473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX P7332) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX BP10037184) |
| Enumeration Date | 2010-06-10 |
| Last Update Date | 2025-11-20 |