| NPI | 1265794697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine Hospice and Palliative Medicine (Licence: OR MD178877) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OR MD178877) |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2021-01-28 |