| NPI | 1427325224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NV 22248) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX Q4094) |
| 207Q00000X Family Medicine (Licence: NM MD2015-0202) | |
| Enumeration Date | 2011-11-22 |
| Last Update Date | 2023-12-04 |