NPI | 1558432013 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX J0281) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 010-54130A) |
207Q00000X Family Medicine (Licence: WA MD00049429) | |
Enumeration Date | 2006-11-13 |
Last Update Date | 2017-02-24 |