| NPI | 1245284314 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: ND 9721) |
| Additional Taxonomies | 207QH0002X Family Medicine Hospice and Palliative Medicine (Licence: ND 9721) |
| Enumeration Date | 2006-05-21 |
| Last Update Date | 2017-04-20 |