| NPI | 1316387178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: GA 073972) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 06296) |
| Enumeration Date | 2013-06-26 |
| Last Update Date | 2022-06-10 |