| NPI | 1487868154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A120150) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX M9381) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2014-06-19 |