| NPI | 1619206224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX P7786) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ND 14777) |
| Enumeration Date | 2009-12-09 |
| Last Update Date | 2023-03-01 |