| NPI | 1952695165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: NC 2015-00960) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 2015-00860) |
| Enumeration Date | 2011-06-06 |
| Last Update Date | 2023-03-07 |