| NPI | 1689781817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX N7892) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CO 38878) |
| 207Q00000X Family Medicine (Licence: CO 38878) | |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2023-01-25 |