| NPI | 1467477281 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX P4668) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 9600005) |
| 207Q00000X Family Medicine (Licence: VA 0101053209) | |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2017-12-03 |