| NPI | 1275701617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NV 17093) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: LA MD.202129) |
| Enumeration Date | 2008-02-19 |
| Last Update Date | 2019-04-09 |