| NPI | 1811047467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: HI 14394) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NV 12157) |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2023-03-07 |