| NPI | 1679925127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PR 22151) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PR 32875-R) |
| 207Q00000X Family Medicine (Licence: TX S2655) | |
| Enumeration Date | 2016-07-08 |
| Last Update Date | 2022-12-06 |