| NPI | 1386870434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX P3647) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NM A-1826-14) |
| Enumeration Date | 2009-06-03 |
| Last Update Date | 2024-01-24 |