| NPI | 1457513103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX P4422) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC 31012) |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2015-03-18 |