| NPI | 1497100275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX S0397) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX BP10056107) |
| Enumeration Date | 2016-04-28 |
| Last Update Date | 2019-08-26 |