| NPI | 1326302308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX Q5287) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO 53467) |
| Enumeration Date | 2012-06-25 |
| Last Update Date | 2020-11-05 |