| NPI | 1932399797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX N5244) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX BP10028341) |
| Enumeration Date | 2007-07-27 |
| Last Update Date | 2022-09-09 |