| NPI | 1861830408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR MD228947) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX Q6167) |
| 207Q00000X Family Medicine (Licence: TX BP10046112) | |
| Enumeration Date | 2013-06-05 |
| Last Update Date | 2026-05-20 |