| NPI | 1396036851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX Q0005) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX BP10039514) |
| Enumeration Date | 2011-05-02 |
| Last Update Date | 2016-09-15 |