NPI | 1891085759 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0055670) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX P7648) |
Enumeration Date | 2011-04-12 |
Last Update Date | 2015-09-11 |