| NPI | 1174755490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: MD D69441) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MD D69441) |
| Enumeration Date | 2009-08-20 |
| Last Update Date | 2012-11-19 |