| NPI | 1609039668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: VA 0101267594) |
| Additional Taxonomies | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: NC 2022-02243) |
| 207QS0010X Family Medicine, Sports Medicine (Licence: GA 067941) | |
| 207Q00000X Family Medicine (Licence: TN MD0000046728) | |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2023-05-04 |