| NPI | 1245437078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX q0392) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OK 24278) |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2016-06-03 |