| NPI | 1679653927 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A106885) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX L7723) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2011-08-12 |