| NPI | 1508027814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX Q3731) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01073874A) |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2021-10-28 |