| NPI | 1336172238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AR E-10478) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX L3650) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2019-08-14 |