| NPI | 1437566213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX T2237) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OK 5545) |
| Enumeration Date | 2014-07-14 |
| Last Update Date | 2021-08-20 |