| NPI | 1609215854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX Q7806) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: TN 0000060082) |
| 207Q00000X Family Medicine (Licence: TN 60082) | |
| Enumeration Date | 2013-06-20 |
| Last Update Date | 2022-10-31 |