| NPI | 1932137379 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX N3388) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AR E2015) |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2021-09-27 |