NPI | 1316120900 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX P0710) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MT190718) |
Enumeration Date | 2007-12-06 |
Last Update Date | 2024-09-13 |