| NPI | 1477845717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: UT 9641756-1205) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX P9026) |
| Enumeration Date | 2011-05-04 |
| Last Update Date | 2017-01-31 |