| NPI | 1548841984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR DO228278) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NV DO3764) |
| Enumeration Date | 2021-04-17 |
| Last Update Date | 2026-04-30 |