| NPI | 1497876437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX N7754) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0116020919) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2016-03-18 |