| NPI | 1922392315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: NV DO1900) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NV SL0806) |
| Enumeration Date | 2011-06-03 |
| Last Update Date | 2015-10-19 |