NPI | 1013029628 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX E0151) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NM 2000-110) |
Enumeration Date | 2006-08-31 |
Last Update Date | 2007-07-08 |