NPI | 1184697062 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: FL OS8792) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 20A11323) |
207Q00000X Family Medicine (Licence: FL OS8792) | |
Enumeration Date | 2006-02-09 |
Last Update Date | 2023-07-28 |