NPI | 1568457968 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX L2394) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA MD61367487) |
Enumeration Date | 2005-09-13 |
Last Update Date | 2025-04-29 |