NPI | 1689008179 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX T2106) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 267523-1) |
207Q00000X Family Medicine (Licence: NY 267523) | |
Enumeration Date | 2013-09-03 |
Last Update Date | 2024-10-24 |