| NPI | 1013001338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX N1185) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 214308) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2012-06-19 |