| NPI | 1366681678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX P7858) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A117505) |
| Enumeration Date | 2009-02-10 |
| Last Update Date | 2023-07-11 |