| NPI | 1851822266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX U3563) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01083092A) |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2024-02-02 |