| NPI | 1427286400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: MI 5101018174) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 5101018174) |
| Enumeration Date | 2009-06-29 |
| Last Update Date | 2017-02-10 |