| NPI | 1194771006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX L0160) |
| Additional Taxonomies | 173000000X Legal Medicine (Licence: TX L0160) |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2014-03-25 |