| NPI | 1427077585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: SD 9656) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX m1135) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2018-12-05 |