| NPI | 1619932332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NV 13796) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0101238977) |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2022-10-19 |