NPI | 1811949290 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX M0995) |
Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: TX M0995) |
207QA0505X Family Medicine, Adult Medicine (Licence: TX Mo995) | |
207QA0505X Family Medicine, Adult Medicine (Licence: TX M0995) | |
Enumeration Date | 2006-05-16 |
Last Update Date | 2022-07-02 |