| NPI | 1346629896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NV DO2365) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NV SL1074) |
| Enumeration Date | 2015-05-29 |
| Last Update Date | 2021-07-30 |