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 |