| NPI | 1518303155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX T0125) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A132396) |
| Enumeration Date | 2013-05-21 |
| Last Update Date | 2025-01-27 |