NPI | 1386265106 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: WI 81135-21) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX T6859) |
Enumeration Date | 2020-05-04 |
Last Update Date | 2024-07-01 |