| NPI | 1154414670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA C55710) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX H9577) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2013-05-06 |