| NPI | 1356922603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AR E-18050) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX U0996) |
| Enumeration Date | 2021-04-19 |
| Last Update Date | 2024-10-03 |