| NPI | 1982085544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX R6832) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX R6832) |
| Enumeration Date | 2015-06-09 |
| Last Update Date | 2021-11-10 |