| NPI | 1396125894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: IA 44817) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IA R-10213) |
| Enumeration Date | 2015-06-01 |
| Last Update Date | 2023-10-06 |