| NPI | 1346360906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX N3297) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA n-a) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2019-08-22 |