| NPI | 1801824586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NV 26675) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 4301086240) |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2025-08-20 |