| NPI | 1144281049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 32674) |
| Additional Taxonomies | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: WA 60454429) |
| Enumeration Date | 2006-03-30 |
| Last Update Date | 2014-09-24 |