| NPI | 1497705222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NV 2418) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL OS12638) |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2020-10-28 |