| NPI | 1619088275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX m0285) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX M0585) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2024-03-04 |