| NPI | 1629319769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX P8147) |
| Additional Taxonomies | 208D00000X General Practice (Licence: TX BP1-0039333) |
| Enumeration Date | 2013-03-14 |
| Last Update Date | 2021-05-03 |