| NPI | 1114037264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A71145) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX P1978) |
| 207Q00000X Family Medicine (Licence: HI MD-15626) | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2024-05-16 |