| NPI | 1972730349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX P-3195) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX BP1-0034760) |
| Enumeration Date | 2009-06-12 |
| Last Update Date | 2023-11-20 |