| NPI | 1457644932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NV 17088) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX Q0055) |
| Enumeration Date | 2011-05-17 |
| Last Update Date | 2022-07-21 |