| NPI | 1184010340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AR A0004428) |
| Additional Taxonomies | 251G00000X Hospice Care, Community Based (Licence: AR ATP-000766) |
| 282N00000X General Acute Care Hospital (Licence: TN APN15549) | |
| Enumeration Date | 2015-04-14 |
| Last Update Date | 2015-07-17 |