| NPI | 1467489740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD428623) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX Q1747) |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2022-03-17 |