| NPI | 1851345391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX N5413) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME 88471) |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2020-05-21 |