| NPI | 1346535143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX P0756) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX BP10038566) |
| Enumeration Date | 2011-06-09 |
| Last Update Date | 2014-09-24 |