| 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 |