| NPI | 1285736009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NV 20014) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AK AA3144) |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2020-09-15 |