| NPI | 1073873766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: NE 2810) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WI 64149-21) |
| Enumeration Date | 2012-05-29 |
| Last Update Date | 2024-10-25 |