| NPI | 1376594424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 200000527) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: NC 200000527) |
| 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: NC 200000527) | |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: NC 200000527) | |
| Enumeration Date | 2006-05-13 |
| Last Update Date | 2018-07-28 |