| NPI | 1578786406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NV 16202) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ 43426) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2020-11-13 |