| NPI | 1487036745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NV 18946) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MD D84274) |
| Enumeration Date | 2015-06-23 |
| Last Update Date | 2019-07-01 |