| NPI | 1225220940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX N8561) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 2007-01163) |
| Enumeration Date | 2007-08-16 |
| Last Update Date | 2017-01-04 |