| NPI | 1265848121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A23224) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX R4689) |
| Enumeration Date | 2014-07-10 |
| Last Update Date | 2025-02-17 |