| NPI | 1386962199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX R1390) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 165052) |
| Enumeration Date | 2010-05-05 |
| Last Update Date | 2019-10-17 |