NPI | 1902957046 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX L1053) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: UT 11407064-1205) |
Enumeration Date | 2007-01-16 |
Last Update Date | 2019-12-31 |