| NPI | 1881037810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2022-02803) |
| Additional Taxonomies | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: NC 2022-02803) |
| Enumeration Date | 2013-04-09 |
| Last Update Date | 2022-11-02 |