NPI | 1184042608 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: CA A140133) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A140133) |
Enumeration Date | 2014-04-01 |
Last Update Date | 2025-05-01 |