| NPI | 1144259706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX N2532) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME92183) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2013-10-31 |