| NPI | 1629412002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NV DO1997) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL UO3364) |
| Enumeration Date | 2013-04-29 |
| Last Update Date | 2022-10-18 |