| NPI | 1598716425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101233619) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX U7703) |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2023-11-13 |