| NPI | 1013160597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: UT 7152053-1205) |
| Additional Taxonomies | 208600000X Surgery (Licence: UT 7152053-1205) |
| Enumeration Date | 2008-10-29 |
| Last Update Date | 2019-12-09 |