| NPI | 1346988409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX BP10078943) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX 744899) |
| Enumeration Date | 2022-05-26 |
| Last Update Date | 2022-06-07 |