| NPI | 1528474319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX S9184) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NM RS2014-0575) |
| 207Q00000X Family Medicine (Licence: NM MD2017-0246) | |
| Enumeration Date | 2014-07-01 |
| Last Update Date | 2022-08-05 |