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 |