| NPI | 1396988416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA c189670) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX S3548) |
| 207Q00000X Family Medicine (Licence: MI 4301099894) | |
| Enumeration Date | 2009-04-20 |
| Last Update Date | 2024-10-07 |