| NPI | 1891069662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL UO3537) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 20A21066) |
| 207Q00000X Family Medicine (Licence: TX U7022) | |
| Enumeration Date | 2012-02-26 |
| Last Update Date | 2023-11-20 |