| NPI | 1265595847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine Hospice and Palliative Medicine (Licence: GA 56721) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 56721) |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2020-05-12 |