| NPI | 1851358584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX L9371) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA G62913) |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2024-04-09 |