| NPI | 1558368498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AR E2079) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX K9940) |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2022-07-07 |