| NPI | 1033378732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX M8969) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 059957) |
| Enumeration Date | 2008-06-06 |
| Last Update Date | 2019-01-15 |