| NPI | 1831919935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: UT 2023210109) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: UT 2023210109) |
| Enumeration Date | 2024-10-14 |
| Last Update Date | 2024-10-14 |