| NPI | 1346800596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX U8975) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 4301504983) |
| Enumeration Date | 2019-06-19 |
| Last Update Date | 2024-09-16 |