| NPI | 1598994337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX Q8734) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME113516) |
| 207Q00000X Family Medicine (Licence: SC LL32037) | |
| Enumeration Date | 2009-07-14 |
| Last Update Date | 2020-07-13 |