| NPI | 1316071459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: FL ME134121) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NV 12389) |
| 207Q00000X Family Medicine (Licence: TN 45579) | |
| 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: VA 0101246566) | |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2018-04-23 |