| NPI | 1821439274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX Q8627) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MS 892-L) |
| Enumeration Date | 2013-07-15 |
| Last Update Date | 2016-12-14 |