NPI | 1861819153 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: MD D90616) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 35132226) |
Enumeration Date | 2014-03-25 |
Last Update Date | 2022-02-01 |