| NPI | 1215934377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: LA 022589) |
| Additional Taxonomies | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: LA 022589) |
| Enumeration Date | 2005-07-05 |
| Last Update Date | 2022-05-20 |