| NPI | 1699923078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX N4950) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX BP10032391) |
| Enumeration Date | 2008-08-28 |
| Last Update Date | 2024-02-16 |