| NPI | 1538438635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME121651) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX R0869) |
| Enumeration Date | 2011-12-19 |
| Last Update Date | 2021-11-19 |