NPI | 1932583382 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: AZ 56552) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.066906) |
Enumeration Date | 2015-07-15 |
Last Update Date | 2018-08-20 |