| NPI | 1164657730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine Hospice and Palliative Medicine (Licence: KY 55791) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 35.099194) |
| 207QH0002X Family Medicine Hospice and Palliative Medicine (Licence: IN 01086319A) | |
| Enumeration Date | 2009-05-26 |
| Last Update Date | 2022-12-15 |