NPI | 1598790503 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX Q4985) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0101231445) |
Enumeration Date | 2006-07-11 |
Last Update Date | 2024-09-17 |