NPI | 1730353830 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX N3752) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 4301097539) |
207Q00000X Family Medicine (Licence: IN 01065086A) | |
207Q00000X Family Medicine (Licence: NY 249505) | |
Enumeration Date | 2008-04-18 |
Last Update Date | 2019-05-16 |