| NPI | 1528670072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NV DO3487) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 20A21411) |
| Enumeration Date | 2020-08-17 |
| Last Update Date | 2023-10-04 |