| NPI | 1386751378 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX H0306) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX H0306) |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2021-01-28 |