| NPI | 1457471419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX M8491) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NH 13735) |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2021-06-17 |