| NPI | 1659399798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX M4577) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX Graduate Student) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2021-02-18 |