| NPI | 1588027411 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX S7319) | 
| Additional Taxonomies | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: TX S7319) | 
| Enumeration Date | 2016-03-29 | 
| Last Update Date | 2025-04-14 |