| NPI | 1417061326 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX P1998) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ME MD19575) |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2019-08-12 |