| NPI | 1952606881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NV 14164) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ND 11715) |
| Enumeration Date | 2011-01-25 |
| Last Update Date | 2021-02-11 |