| NPI | 1447784269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL 140771) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX V2213) |
| Enumeration Date | 2017-04-18 |
| Last Update Date | 2025-04-11 |