| NPI | 1386871655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: SC 35412) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX BP10033766) |
| 207Q00000X Family Medicine (Licence: TX P2011) | |
| Enumeration Date | 2009-06-15 |
| Last Update Date | 2013-08-19 |