| NPI | 1437563657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 67325) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX BP10050944) |
| Enumeration Date | 2014-06-16 |
| Last Update Date | 2020-08-12 |