| NPI | 1912212846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA d5611281) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: UT 9881082-1205) |
| Enumeration Date | 2010-08-16 |
| Last Update Date | 2017-01-25 |