| NPI | 1619199171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 5101012099) |
| Additional Taxonomies | 207QH0002X Family Medicine Hospice and Palliative Medicine (Licence: MI 5101011299) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2019-09-20 |