| NPI | 1205027489 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MS 21238) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX BP1-0028930) |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2016-12-21 |