| NPI | 1003879693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NV 17636) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AK 3823) |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2023-07-27 |