| NPI | 1558686105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX S2445) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD457440) |
| 207Q00000X Family Medicine (Licence: AR E-9014) | |
| 207Q00000X Family Medicine (Licence: TN 46111) | |
| Enumeration Date | 2010-04-06 |
| Last Update Date | 2021-04-01 |