| 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 |