NPI | 1932383775 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX V4642) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NM MD2007-0508) |
207Q00000X Family Medicine (Licence: WV 22450) | |
Enumeration Date | 2007-12-27 |
Last Update Date | 2024-11-20 |