| NPI | 1457526485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX R0502) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MN 53989) |
| 207Q00000X Family Medicine (Licence: CA a117294) | |
| Enumeration Date | 2008-04-30 |
| Last Update Date | 2020-06-10 |