| NPI | 1407836687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A83205) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX Q5723) |
| Enumeration Date | 2006-01-22 |
| Last Update Date | 2020-09-14 |