| NPI | 1548384514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NV 16218) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX N1425) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2025-04-02 |