| NPI | 1104159177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 202C00000X Independent Medical Examiner (Licence: TX F6469) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX F6469) |
| Enumeration Date | 2009-09-09 |
| Last Update Date | 2009-09-09 |