| NPI | 1427031384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX J1858) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 200200320) |
| Enumeration Date | 2005-11-23 |
| Last Update Date | 2022-07-21 |