| NPI | 1992533285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX 1166559) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AR 229712) |
| Enumeration Date | 2024-07-26 |
| Last Update Date | 2025-01-16 |