| NPI | 1457490211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: NC 2021-02128) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 2021-02128) |
| 207Q00000X Family Medicine (Licence: FL OS9449) | |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2022-03-31 |