| NPI | 1073967584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A23711) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX S1221) |
| Enumeration Date | 2016-04-20 |
| Last Update Date | 2025-09-03 |