| NPI | 1649281569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A21341) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX N4435) |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2026-05-26 |