| NPI | 1700084670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX N6047) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX N6047) |
| 207Q00000X Family Medicine (Licence: VA 0116018138) | |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2018-06-12 |