| NPI | 1750456232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX P0626) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OK 24614) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2022-04-11 |