| NPI | 1558773820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX Q8659) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX BP10050114) |
| Enumeration Date | 2014-05-21 |
| Last Update Date | 2022-07-21 |