| NPI | 1205982220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX N2265) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A063867) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2011-03-16 |