| NPI | 1528320991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO 2012017897) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX V7389) |
| 207P00000X Emergency Medicine (Licence: IA MD-42701) | |
| 207Q00000X Family Medicine (Licence: HI MD-25143) | |
| 207Q00000X Family Medicine (Licence: KS 438143) | |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2025-05-06 |