| NPI | 1427021435 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX S1839) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AL 00027026) |
| Enumeration Date | 2006-02-09 |
| Last Update Date | 2025-02-19 |