| NPI | 1447488580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX P6701) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL OS11763) |
| Enumeration Date | 2009-06-27 |
| Last Update Date | 2016-08-30 |