| NPI | 1306009469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX N8553) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 149438) |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2016-06-14 |