NPI | 1760838536 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 168504) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX S2624) |
Enumeration Date | 2016-05-10 |
Last Update Date | 2022-07-21 |