NPI | 1356684864 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX Q4649) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX BP10045834) |
Enumeration Date | 2013-04-03 |
Last Update Date | 2021-01-07 |