| NPI | 1174556286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX Q9359) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A69631) |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2017-04-28 |