| NPI | 1598117343 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX S3821) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX BP10057231) |
| Enumeration Date | 2016-07-05 |
| Last Update Date | 2021-10-28 |