| NPI | 1386134757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX S3880) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX BP10063989) |
| Enumeration Date | 2018-05-11 |
| Last Update Date | 2021-09-23 |