NPI | 1013397140 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX S1949) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 4301107689) |
Enumeration Date | 2015-06-03 |
Last Update Date | 2021-01-11 |