| NPI | 1831145234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX P4238) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO DR.0055569) |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2025-07-15 |