| NPI | 1407872740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX P6914) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 9300806) |
| 207Q00000X Family Medicine (Licence: NC 00101047) | |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2020-10-16 |