| NPI | 1699945956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX P7283) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WI 51135-20) |
| Enumeration Date | 2008-03-03 |
| Last Update Date | 2023-03-07 |