| NPI | 1528048014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine Adult Medicine (Licence: TX J8133) |
| Additional Taxonomies | 207QA0000X Family Medicine Adolescent Medicine (Licence: TX J8133) |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2008-10-20 |