| NPI | 1831325117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101251937) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX BP10035323) |
| Enumeration Date | 2009-06-01 |
| Last Update Date | 2024-07-10 |