| NPI | 1396854493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN 40613) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX P2378) |
| 207Q00000X Family Medicine (Licence: MS 19070) | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2020-09-09 |