| NPI | 1811946569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: TX L8795) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX L8795) |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2026-07-01 |