| NPI | 1437504040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AR E-11171) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX S4313) |
| Enumeration Date | 2016-05-02 |
| Last Update Date | 2023-04-26 |