| NPI | 1376631689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX V3643) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 90004) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2025-04-08 |