| NPI | 1730488909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: HI MD-17170) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX BP10037588) |
| Enumeration Date | 2011-03-27 |
| Last Update Date | 2021-05-12 |