| NPI | 1447468772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX PS950) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301087614) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2015-01-06 |