| NPI | 1437670791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NE 1962) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NV SL1191) |
| Enumeration Date | 2017-06-27 |
| Last Update Date | 2021-01-20 |