| NPI | 1942366638 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A87494) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX M5265) |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2022-12-06 |