NPI | 1831380195 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX R5022) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MN 52854) |
207Q00000X Family Medicine (Licence: CO 52993) | |
Enumeration Date | 2007-08-01 |
Last Update Date | 2022-02-23 |