NPI | 1477930717 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX R7299) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA OT016711) |
Enumeration Date | 2015-05-06 |
Last Update Date | 2021-05-03 |