NPI | 1235216334 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX M2467) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MD D68433) |
Enumeration Date | 2006-11-01 |
Last Update Date | 2019-01-14 |