NPI | 1174571582 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX K8564) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX K8564) |
Enumeration Date | 2006-05-05 |
Last Update Date | 2024-11-22 |