| NPI | 1275700494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NV DO1400) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 20A9683) |
| Enumeration Date | 2008-05-15 |
| Last Update Date | 2025-07-31 |