| NPI | 1679102412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX V6592) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 313979) |
| Enumeration Date | 2020-04-03 |
| Last Update Date | 2025-04-01 |