| NPI | 1346222106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine Hospice and Palliative Medicine (Licence: AZ 28534) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ 28534) |
| Enumeration Date | 2005-11-17 |
| Last Update Date | 2018-01-16 |