| NPI | 1427064666 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL OS10805) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX L2304) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2011-05-18 |