| NPI | 1164528428 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: NM 96391) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NM 96-391) |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2020-09-23 |