| NPI | 1346475118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A88465) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX A88465) |
| Enumeration Date | 2009-05-22 |
| Last Update Date | 2023-08-03 |