| NPI | 1598057473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX Q3223) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01081615A) |
| 207Q00000X Family Medicine (Licence: NC 2019-00095) | |
| 207Q00000X Family Medicine (Licence: VA 0101266203) | |
| Enumeration Date | 2011-05-10 |
| Last Update Date | 2019-10-21 |