| 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 | 2020-12-14 |