| NPI | 1417115544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: DC DO034894) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX N3281) |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2020-03-04 |