| NPI | 1053365478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: KY 44464) |
| Additional Taxonomies | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: TX M8163) |
| 207Q00000X Family Medicine (Licence: TX M8163) | |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2013-04-29 |