| NPI | 1508075185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D0097877) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 2010-01464) |
| 207Q00000X Family Medicine (Licence: TX R0462) | |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2024-02-23 |