| NPI | 1356751341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX R3100) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX BP10050947) |
| Enumeration Date | 2014-04-30 |
| Last Update Date | 2021-12-28 |