| NPI | 1366001372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX T6163) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX BP10067098) |
| Enumeration Date | 2019-06-12 |
| Last Update Date | 2023-02-23 |