| NPI | 1548316482 |
|---|---|
| Other Name | N/A N/A N/A |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A5861) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NV DO2725) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2025-01-16 |