| NPI | 1477710663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX P7969) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD443127) |
| Enumeration Date | 2008-05-16 |
| Last Update Date | 2015-09-11 |