| NPI | 1770874356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NV DO1837) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ 5652) |
| Enumeration Date | 2011-04-29 |
| Last Update Date | 2018-09-21 |