| NPI | 1689856734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A98956) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX M8222) |
| Enumeration Date | 2007-11-30 |
| Last Update Date | 2022-07-21 |