| NPI | 1174604680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA C53229) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX K7932) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2018-03-17 |