| NPI | 1538459193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX Q7408) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OK 33898) |
| 207Q00000X Family Medicine (Licence: LA 310933) | |
| 207Q00000X Family Medicine (Licence: MO 2018015469) | |
| 207Q00000X Family Medicine (Licence: WY 9523A) | |
| 207Q00000X Family Medicine (Licence: AR E-11480) | |
| Enumeration Date | 2011-04-15 |
| Last Update Date | 2023-11-17 |