| NPI | 1154705895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX R8011) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A157072) |
| 207Q00000X Family Medicine (Licence: FL ME162177) | |
| Enumeration Date | 2015-07-13 |
| Last Update Date | 2024-05-03 |