NPI | 1265402275 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207QH0002X Family Medicine Hospice and Palliative Medicine (Licence: CO 34804) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO 34804) |
Enumeration Date | 2006-01-23 |
Last Update Date | 2021-05-14 |