| NPI | 1427496025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX R0154) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL 18811) |
| Enumeration Date | 2013-06-05 |
| Last Update Date | 2017-01-30 |