| NPI | 1568085397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX T3797) |
| Additional Taxonomies | 208D00000X General Practice (Licence: TX T3797) |
| Enumeration Date | 2020-05-27 |
| Last Update Date | 2024-01-25 |