| NPI | 1578700340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA C134456) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX BP10030091) |
| Enumeration Date | 2009-01-14 |
| Last Update Date | 2024-09-09 |