| NPI | 1912007485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: FL OS6402) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL os6402) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2017-04-20 |