| NPI | 1861652083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX R5189) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OK 26438) |
| 207Q00000X Family Medicine (Licence: NM MD2011-0661) | |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2024-05-14 |