| NPI | 1215226667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine Hospice and Palliative Medicine (Licence: AZ 007530) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 20A12797) |
| 207Q00000X Family Medicine (Licence: NV DO2001) | |
| Enumeration Date | 2011-04-06 |
| Last Update Date | 2021-12-08 |