| NPI | 1982014221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX R4653) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NV DO3152) |
| Enumeration Date | 2014-05-07 |
| Last Update Date | 2023-07-02 |