| NPI | 1013142686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX Q5905) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 068600) |
| Enumeration Date | 2009-05-26 |
| Last Update Date | 2021-04-05 |