| NPI | 1891058194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX P8125) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX BP10044618) |
| Enumeration Date | 2012-06-21 |
| Last Update Date | 2013-10-28 |