| NPI | 1265639793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NV 13774) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NV 13374) |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2024-07-10 |