| NPI | 1497995377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX N4350) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A106817) |
| 207Q00000X Family Medicine (Licence: NY 248768) | |
| 207Q00000X Family Medicine (Licence: NH 14582) | |
| Enumeration Date | 2009-03-04 |
| Last Update Date | 2012-03-12 |