| NPI | 1043506744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NV DO1864) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NV SL0808) |
| Enumeration Date | 2011-06-22 |
| Last Update Date | 2022-07-21 |