| NPI | 1326485335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX U1685) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ R2281) |
| Enumeration Date | 2013-05-30 |
| Last Update Date | 2025-04-30 |