| NPI | 1730344508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 64156) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX P0948) |
| Enumeration Date | 2008-07-22 |
| Last Update Date | 2022-11-05 |