| NPI | 1366510018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX k3289) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX K3289) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2011-06-30 |