| NPI | 1578186631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX 1073320) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AR 124873) |
| Enumeration Date | 2020-05-24 |
| Last Update Date | 2023-08-28 |