| NPI | 1629420716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX V1097) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ME EC161082) |
| Enumeration Date | 2016-07-13 |
| Last Update Date | 2025-01-22 |