| NPI | 1427687771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX U8456) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 325012) |
| Enumeration Date | 2020-04-07 |
| Last Update Date | 2025-07-30 |