NPI | 1346423688 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX N0776) |
Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: TX N0776) |
Enumeration Date | 2007-12-10 |
Last Update Date | 2015-10-29 |