| NPI | 1902872716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX L4204) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO DR.0072615) |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2024-09-18 |