NPI | 1699062190 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX R4714) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A131097) |
Enumeration Date | 2011-07-05 |
Last Update Date | 2018-03-17 |