NPI | 1508075185 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D0097877) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 2010-01464) |
207Q00000X Family Medicine (Licence: TX R0462) | |
Enumeration Date | 2007-05-21 |
Last Update Date | 2024-02-23 |