NPI | 1629310412 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX T4283) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: LA 207243) |
Enumeration Date | 2013-03-20 |
Last Update Date | 2023-08-17 |