| NPI | 1336330836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX Q2429) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MA 241033) |
| Enumeration Date | 2007-08-08 |
| Last Update Date | 2021-11-17 |