| NPI | 1023500352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NV DO2884) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NV SL1384) |
| Enumeration Date | 2018-06-01 |
| Last Update Date | 2021-06-24 |