| NPI | 1770844144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NH 20636) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NV 17946) |
| Enumeration Date | 2012-06-01 |
| Last Update Date | 2023-06-29 |