| NPI | 1356313332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine Hospice and Palliative Medicine (Licence: WI 57172) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: SD 3992) |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2014-03-27 |