| NPI | 1457771818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AR E-9411) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX R3791) |
| Enumeration Date | 2014-04-23 |
| Last Update Date | 2024-12-19 |