| NPI | 1558922500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX T3920) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX BP10067717) |
| Enumeration Date | 2019-06-20 |
| Last Update Date | 2023-09-12 |