| NPI | 1679261911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX 764827) |
| Additional Taxonomies | 207QA0000X Family Medicine, Adolescent Medicine (Licence: TX 764827) |
| 207QA0401X Family Medicine, Addiction Medicine (Licence: TX 764827) | |
| 207QA0505X Family Medicine, Adult Medicine (Licence: TX 764827) | |
| 207QB0002X Family Medicine, Bariatric Medicine (Licence: TX 764827) | |
| 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: TX 764827) | |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: TX 764827) | |
| 207QS0010X Family Medicine, Sports Medicine (Licence: TX 764827) | |
| 207QS1201X Family Medicine, Sleep Medicine (Licence: TX 764827) | |
| Enumeration Date | 2023-04-25 |
| Last Update Date | 2023-04-25 |