| NPI | 1265526644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX k0799) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NM 94259) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2014-11-12 |