| NPI | 1912907080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: CA A82396) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 00A823960) |
| Enumeration Date | 2005-07-29 |
| Last Update Date | 2015-05-13 |