NPI | 1861491136 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: VA 0101056207) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0101056207) |
Enumeration Date | 2005-07-19 |
Last Update Date | 2017-01-17 |