| NPI | 1538681622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX V3484) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IA R10910) |
| Enumeration Date | 2017-07-11 |
| Last Update Date | 2024-10-28 |