NPI | 1891069662 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL UO3537) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 20A21066) |
207Q00000X Family Medicine (Licence: TX U7022) | |
Enumeration Date | 2012-02-26 |
Last Update Date | 2023-11-20 |