| NPI | 1194023929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D95451) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A114764) |
| 207Q00000X Family Medicine (Licence: TX P8268) | |
| Enumeration Date | 2011-03-02 |
| Last Update Date | 2023-09-18 |