| NPI | 1518589522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: LA 338280) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX BP10072179) |
| Enumeration Date | 2020-05-13 |
| Last Update Date | 2023-08-27 |