NPI | 1013128925 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301085579) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX V2631) |
Enumeration Date | 2007-05-24 |
Last Update Date | 2025-02-17 |