| NPI | 1588830590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD465794) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX P2741) |
| 207Q00000X Family Medicine (Licence: LA 201711) | |
| Enumeration Date | 2008-04-30 |
| Last Update Date | 2024-07-31 |