| NPI | 1619288149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NV 21916) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A115611) |
| Enumeration Date | 2010-06-30 |
| Last Update Date | 2025-02-07 |