| NPI | 1841392677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX P5557) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AL 26905) |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2021-12-16 |