NPI | 1669462677 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME79025) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX P3753) |
Enumeration Date | 2005-10-21 |
Last Update Date | 2017-05-02 |