NPI | 1154701142 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX R3861) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX BP10053768) |
Enumeration Date | 2015-06-04 |
Last Update Date | 2018-07-24 |