| NPI | 1922413707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: PA OS018200) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA OT015726) |
| Enumeration Date | 2014-06-30 |
| Last Update Date | 2021-01-09 |