| NPI | 1689008179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX T2106) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 267523-1) |
| 207Q00000X Family Medicine (Licence: NY 267523) | |
| Enumeration Date | 2013-09-03 |
| Last Update Date | 2025-06-03 |