| NPI | 1689294456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NV DO3271) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OR DO216862) |
| Enumeration Date | 2020-04-22 |
| Last Update Date | 2023-12-19 |