| NPI | 1730347501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101253142) |
| Additional Taxonomies | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: VA 0101253142) |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2021-08-19 |