| NPI | 1447443627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: ND 14372) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX BP1-0027833) |
| Enumeration Date | 2007-08-22 |
| Last Update Date | 2026-09-03 |