| NPI | 1376697649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: FL ME44448) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME44448) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2017-02-09 |