| NPI | 1780723114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX L4957) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX L4957) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2020-05-12 |