| NPI | 1235584681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NV 20210) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 158267) |
| Enumeration Date | 2016-05-03 |
| Last Update Date | 2023-11-13 |