| NPI | 1154313005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA C157606) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX K6972) |
| Enumeration Date | 2005-08-17 |
| Last Update Date | 2019-04-24 |