| NPI | 1497955934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX N7851) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OK 27397) |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2023-08-09 |