| NPI | 1437214624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX K7449) |
| Additional Taxonomies | 174400000X Specialist (Licence: GA 058616) |
| 208800000X Urology (Licence: TX K7449) | |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2019-01-15 |