| NPI | 1225188162 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX S1557) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A93800) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2024-07-30 |