NPI | 1871973453 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX R0469) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX BP10053886) |
Enumeration Date | 2015-06-09 |
Last Update Date | 2022-02-15 |