| NPI | 1477202240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX W2338) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: KS 05-52311) |
| Enumeration Date | 2022-03-21 |
| Last Update Date | 2026-02-17 |