| NPI | 1134377849 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX P8625) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A100185) |
| Enumeration Date | 2008-09-05 |
| Last Update Date | 2022-04-25 |