| NPI | 1235170440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A95816) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX m2180) |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2023-09-21 |