| NPI | 1598325821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: UT 12851770-1205) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: UT 12851770-1205-1205) |
| Enumeration Date | 2019-06-18 |
| Last Update Date | 2023-11-09 |