| NPI | 1013369123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NV 21471) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 4301110764) |
| Enumeration Date | 2016-07-13 |
| Last Update Date | 2024-05-02 |