| NPI | 1275022394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A194987) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX U0601) |
| 207Q00000X Family Medicine (Licence: FL ME149668) | |
| Enumeration Date | 2018-05-03 |
| Last Update Date | 2025-06-26 |