| NPI | 1477728079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX N1880) |
| Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: TX N1880) |
| 207Q00000X Family Medicine (Licence: FL OS10117) | |
| Enumeration Date | 2008-04-24 |
| Last Update Date | 2022-09-28 |