| NPI | 1992232334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NV DO2706) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NV SL1201) |
| Enumeration Date | 2017-05-16 |
| Last Update Date | 2020-07-11 |