| NPI | 1023139060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX U7044) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A82392) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2025-01-24 |