| NPI | 1992719199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA C136695) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX BP30020425) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2024-12-30 |