| NPI | 1437530466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX S0541) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX BP10054214) |
| Enumeration Date | 2015-06-16 |
| Last Update Date | 2019-11-22 |