| NPI | 1154736833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX Q1988) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX BP10044541) |
| Enumeration Date | 2014-06-21 |
| Last Update Date | 2019-11-18 |