| NPI | 1306027495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: TN 0000014866) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TN 0000014866) |
| Enumeration Date | 2007-11-17 |
| Last Update Date | 2014-06-18 |