| NPI | 1952538100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX P4133) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX P4133) |
| Enumeration Date | 2009-06-15 |
| Last Update Date | 2021-09-22 |