| NPI | 1548600885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX S9583) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA OS017278) |
| Enumeration Date | 2013-07-01 |
| Last Update Date | 2024-09-19 |