| NPI | 1437388352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX S8795) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AL 31901) |
| 207Q00000X Family Medicine (Licence: CA A140560) | |
| Enumeration Date | 2009-07-13 |
| Last Update Date | 2022-05-01 |