| NPI | 1346366333 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX Q8005) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MD D65267) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2022-07-21 |