| NPI | 1134305956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: TX Q8681) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ R877) |
| 207Q00000X Family Medicine (Licence: NE 677) | |
| 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: NE 677) | |
| Enumeration Date | 2008-01-10 |
| Last Update Date | 2018-04-18 |