NPI | 1962769588 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX P8733) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX BP10043367) |
Enumeration Date | 2012-04-19 |
Last Update Date | 2020-04-16 |