| NPI | 1821263542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX U2320) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD440742) |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2023-08-22 |