| NPI | 1508287590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AR E-17639) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 208D00000X General Practice (Licence: TX U1681) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX BP10075205) | |
| Enumeration Date | 2013-12-18 |
| Last Update Date | 2024-06-18 |