| NPI | 1780849737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX N5582) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX BP10029321) |
| Enumeration Date | 2008-07-18 |
| Last Update Date | 2020-04-08 |