| NPI | 1306154075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX T0050) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A113500) |
| Enumeration Date | 2010-09-16 |
| Last Update Date | 2021-11-16 |