NPI | 1609256924 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX T0926) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: UT 9832805-8905) |
207Q00000X Family Medicine (Licence: WA 60841477) | |
Enumeration Date | 2015-06-02 |
Last Update Date | 2025-01-23 |