| NPI | 1891923108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: HI MD-21078) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX P4040) |
| Enumeration Date | 2009-06-25 |
| Last Update Date | 2022-10-24 |