| NPI | 1831417807 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX P7095) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0116022242) |
| Enumeration Date | 2010-05-14 |
| Last Update Date | 2017-03-08 |