| NPI | 1386265106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX T6859) |
| Additional Taxonomies | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: WI 81135-21) |
| Enumeration Date | 2020-05-04 |
| Last Update Date | 2024-11-08 |