| NPI | 1740493980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX Q3740) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME98549) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2018-12-07 |