| NPI | 1316167844 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A97582) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX M8862) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2009-11-24 |