| NPI | 1174676118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX P2278) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MA 222133) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2013-02-27 |