| NPI | 1144514365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: CO DR.0057819) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 5101019220) |
| Enumeration Date | 2011-06-06 |
| Last Update Date | 2022-12-08 |