| NPI | 1861419434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX L1372) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO 41938) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2022-04-30 |