| NPI | 1538321856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX N7762) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A105190) |
| Enumeration Date | 2008-06-27 |
| Last Update Date | 2021-09-28 |