| NPI | 1790942001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: NY 258296) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OR MD 29431) |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2014-10-28 |