| NPI | 1538513940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX s3394) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ R75467)) |
| Enumeration Date | 2016-04-21 |
| Last Update Date | 2022-06-28 |