| NPI | 1619269347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2014-01724) |
| Additional Taxonomies | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: NC 2014-01724) |
| Enumeration Date | 2011-05-13 |
| Last Update Date | 2025-09-30 |