NPI | 1760424915 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: TX L0229) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX L0229) |
Enumeration Date | 2006-06-12 |
Last Update Date | 2013-01-04 |