| NPI | 1760041180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX U1495) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AR E15839) |
| 207Q00000X Family Medicine (Licence: AR E15839) | |
| Enumeration Date | 2019-06-10 |
| Last Update Date | 2023-01-26 |