| NPI | 1609257971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX R3097) |
| Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: TX R3097) |
| 207Q00000X Family Medicine (Licence: TX BP10053131) | |
| 207QS0010X Family Medicine, Sports Medicine (Licence: TX R3097) | |
| Enumeration Date | 2015-06-12 |
| Last Update Date | 2023-03-31 |