| NPI | 1629310412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX T4283) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: LA 207243) |
| Enumeration Date | 2013-03-20 |
| Last Update Date | 2023-08-17 |