| NPI | 1265578165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX M7246) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AR E4772) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2008-08-14 |