NPI | 1134484660 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: CO DR.0055879) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125.061939) |
207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: CO 55879) | |
Enumeration Date | 2012-07-11 |
Last Update Date | 2024-07-25 |