| NPI | 1437531118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX R8990) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX BP10053386) |
| Enumeration Date | 2015-06-18 |
| Last Update Date | 2025-04-10 |