| NPI | 1922361740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AR E-9342) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WV 26063) |
| 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: AR E-9342) | |
| Enumeration Date | 2012-06-18 |
| Last Update Date | 2021-05-19 |