| NPI | 1598937799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX U5428) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MN 103583) |
| Enumeration Date | 2008-03-27 |
| Last Update Date | 2024-03-20 |