| NPI | 1073773644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine Hospice and Palliative Medicine (Licence: NC 2009-02040) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 2009-02040) |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2022-09-19 |