| NPI | 1902050230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX N3842) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX BP10024929) |
| Enumeration Date | 2008-11-13 |
| Last Update Date | 2015-08-12 |