| NPI | 1477047462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX T7182) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA a175045) |
| Enumeration Date | 2018-06-21 |
| Last Update Date | 2022-06-24 |