| NPI | 1346475209 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0059833) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 5101023313) |
| 207Q00000X Family Medicine (Licence: TX P0436) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX BPI 0034876) | |
| Enumeration Date | 2009-05-21 |
| Last Update Date | 2022-12-02 |