| NPI | 1922392059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX T0876) |
| Additional Taxonomies | 208D00000X General Practice (Licence: HI MD-16774) |
| Enumeration Date | 2011-06-07 |
| Last Update Date | 2023-05-22 |