| NPI | 1770647216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: CO DR.0039820) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 2006-00078) |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2019-12-20 |