| NPI | 1396719274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: NM A-784-84) |
| Additional Taxonomies | 208D00000X General Practice (Licence: NM A-784-84) |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2019-07-03 |