| NPI | 1598744740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D76898) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX K1994) |
| Enumeration Date | 2006-01-15 |
| Last Update Date | 2016-11-22 |