| NPI | 1295175271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NV DO3788) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IA 04802) |
| Enumeration Date | 2013-07-05 |
| Last Update Date | 2026-03-05 |