| NPI | 1881827814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NV CL0035) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ 005946) |
| Enumeration Date | 2009-08-25 |
| Last Update Date | 2019-01-02 |