| NPI | 1588807655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX P5010) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AR E-7061) |
| Enumeration Date | 2009-04-19 |
| Last Update Date | 2021-05-07 |