| NPI | 1417965674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA C183787) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX M0052) |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2023-03-28 |