| NPI | 1487975447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX P6146) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX BP10036752) |
| Enumeration Date | 2010-06-14 |
| Last Update Date | 2014-12-01 |