| NPI | 1356968978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D0103459) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX V1873) |
| Enumeration Date | 2020-06-30 |
| Last Update Date | 2026-07-17 |