NPI | 1205875929 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX J5974) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX J5974) |
Enumeration Date | 2006-06-06 |
Last Update Date | 2016-04-01 |