| NPI | 1902872716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX L4204) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO DR.0072615) |
| 207Q00000X Family Medicine (Licence: TX L4204) | |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2025-01-02 |