| NPI | 1194073460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LH0002X Anesthesiology, Hospice and Palliative Medicine (Licence: GA 76603) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 076603) |
| Enumeration Date | 2012-08-17 |
| Last Update Date | 2024-06-06 |