| NPI | 1538659396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NV DO2774) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NV SL1365) |
| Enumeration Date | 2018-05-16 |
| Last Update Date | 2022-06-20 |