| NPI | 1437644853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: TX T2496) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX BP10063872) |
| Enumeration Date | 2018-06-27 |
| Last Update Date | 2021-09-13 |