| NPI | 1235108754 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME134339) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX K5045) |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2020-10-28 |