| NPI | 1609042472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX P8642) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A110627) |
| 207Q00000X Family Medicine (Licence: OR MD176436) | |
| Enumeration Date | 2008-05-01 |
| Last Update Date | 2023-04-07 |