| NPI | 1396901138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX Q3366) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 63836) |
| Enumeration Date | 2008-07-31 |
| Last Update Date | 2018-10-03 |