| NPI | 1861780819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX P5761) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX BP10041435) |
| Enumeration Date | 2011-07-12 |
| Last Update Date | 2013-05-09 |