| NPI | 1750727327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR MD208749) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX Q6625) |
| Enumeration Date | 2013-05-22 |
| Last Update Date | 2022-04-13 |