| NPI | 1003101866 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX N8194) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX BP10032436) |
| Enumeration Date | 2011-06-09 |
| Last Update Date | 2020-11-30 |