| NPI | 1376281758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 011859) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX BP10078985) |
| Enumeration Date | 2022-05-25 |
| Last Update Date | 2025-07-31 |