| NPI | 1467602714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX S3958) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: LA MD.204896) |
| 207Q00000X Family Medicine (Licence: PA MT193739) | |
| Enumeration Date | 2008-09-23 |
| Last Update Date | 2021-08-25 |