| NPI | 1538749411 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX V6657) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 330693) |
| Enumeration Date | 2021-04-13 |
| Last Update Date | 2025-07-11 |