| NPI | 1467685800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: GA 72239) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 253779) |
| Enumeration Date | 2009-09-02 |
| Last Update Date | 2018-06-13 |