| NPI | 1386964302 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: WA MD60840774) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 2020-00888) |
| 207Q00000X Family Medicine (Licence: TX P4578) | |
| 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: NC 2020-00888) | |
| Enumeration Date | 2010-06-02 |
| Last Update Date | 2022-08-17 |