| NPI | 1598969057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A113838) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX R4523) |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2025-09-08 |