NPI | 1861830408 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX Q6167) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX BP10046112) |
Enumeration Date | 2013-06-05 |
Last Update Date | 2023-12-12 |