| NPI | 1427341783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX P4302) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX BP10041630) |
| Enumeration Date | 2011-05-19 |
| Last Update Date | 2021-01-11 |