| NPI | 1316267057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2022-00316) |
| Additional Taxonomies | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: NC 2022-00316) |
| Enumeration Date | 2010-06-04 |
| Last Update Date | 2024-07-15 |