| NPI | 1336236868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR DO29050) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX K3747) |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2015-12-11 |