| NPI | 1588981450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: TX Q0053) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX Q0053) |
| Enumeration Date | 2010-04-30 |
| Last Update Date | 2025-06-12 |