| NPI | 1073579447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: AZ 37520) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 00795) |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2021-09-16 |