| NPI | 1780843268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NV 15982) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: HI MD-16377) |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2015-11-19 |