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 |