| NPI | 1699738971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX N9185) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 223998) |
| Enumeration Date | 2006-04-08 |
| Last Update Date | 2012-02-13 |