| NPI | 1669249678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX 1167944) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 95028302) |
| Enumeration Date | 2023-12-08 |
| Last Update Date | 2025-06-04 |