| NPI | 1528328317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO 57341) |
| Additional Taxonomies | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: CO 57341) |
| 207Q00000X Family Medicine (Licence: OK 29139) | |
| Enumeration Date | 2012-05-25 |
| Last Update Date | 2016-09-22 |