| NPI | 1922041805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: MO 2023029930) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO 37624) |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2023-08-31 |