NPI | 1316907017 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX S3273) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MN 39847) |
Enumeration Date | 2006-03-25 |
Last Update Date | 2024-09-19 |