| NPI | 1083824940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: UT 7711982-1205) |
| Additional Taxonomies | 207QH0002X Family Medicine Hospice and Palliative Medicine (Licence: MI 4301088182) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2020-11-25 |