| NPI | 1235425448 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NV DO2536) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0102203392) |
| Enumeration Date | 2011-06-26 |
| Last Update Date | 2021-02-25 |