| NPI | 1386261204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX V1507) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX BP10072182) |
| 207Q00000X Family Medicine (Licence: TX 47970) | |
| Enumeration Date | 2020-06-26 |
| Last Update Date | 2024-10-14 |