| NPI | 1831333780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A113134) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX Q3549) |
| Enumeration Date | 2009-04-22 |
| Last Update Date | 2021-01-28 |