NPI | 1437158896 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NM A-1723-13) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX K2574) |
Enumeration Date | 2005-07-19 |
Last Update Date | 2021-04-07 |