NPI | 1629413257 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX U3386) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MT203886) |
Enumeration Date | 2013-05-09 |
Last Update Date | 2023-08-24 |