NPI | 1811254626 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX Q9324) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MD H0087958) |
Enumeration Date | 2012-04-18 |
Last Update Date | 2019-08-15 |