| NPI | 1134126600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AR E-3089) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX K6502) |
| 207Q00000X Family Medicine (Licence: AR E3089) | |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2011-09-24 |