| NPI | 1023205051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NV 26503) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME82296) |
| Enumeration Date | 2007-10-03 |
| Last Update Date | 2024-11-19 |