| NPI | 1013414515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: CA A174551) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: UT 11405428-1205) |
| Enumeration Date | 2018-04-11 |
| Last Update Date | 2022-07-19 |