| NPI | 1568801629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX Q5282) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX BP10047967) |
| Enumeration Date | 2013-06-21 |
| Last Update Date | 2020-09-01 |