| NPI | 1851308241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: VA 0101224455) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0101224455) |
| 207Q00000X Family Medicine (Licence: VA 0101224455) | |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2017-05-05 |