NPI | 1710046982 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX L9826) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME79662) |
Enumeration Date | 2006-12-06 |
Last Update Date | 2020-11-13 |