| NPI | 1922328079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX P4604) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX BP10037182) |
| Enumeration Date | 2010-06-10 |
| Last Update Date | 2024-09-05 |