| NPI | 1447486691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX P2421) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX BP10035365) |
| Enumeration Date | 2009-06-02 |
| Last Update Date | 2016-09-19 |