| NPI | 1285824961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2011-00187) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX M7127) |
| Enumeration Date | 2007-07-27 |
| Last Update Date | 2020-10-25 |