| NPI | 1134318611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX TEMPORARY) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX M7829) |
| Enumeration Date | 2007-10-19 |
| Last Update Date | 2009-09-29 |