| NPI | 1649218744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NV 11484) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NV 127463) |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2023-09-13 |