| NPI | 1477668275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX M5897) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MA 237219) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2022-05-24 |