| NPI | 1801846753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX F9023) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: TX f9023) |
| 207Q00000X Family Medicine (Licence: TX F42585) | |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2010-01-06 |