| NPI | 1780762823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX R3468) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AR E4816) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2017-09-26 |