| NPI | 1720274988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX N2332) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A101141) |
| Enumeration Date | 2007-09-21 |
| Last Update Date | 2023-03-07 |