| NPI | 1750395778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: OH 35.088100) |
| Additional Taxonomies | 2080H0002X (Licence: OH 35088100) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2020-02-24 |