| NPI | 1467797811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX K6689) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX k6698) |
| Enumeration Date | 2012-12-11 |
| Last Update Date | 2021-08-19 |