| NPI | 1356577969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 83172) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX N3766) |
| Enumeration Date | 2009-06-09 |
| Last Update Date | 2024-08-20 |