| NPI | 1982714754 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO 39614) |
| Additional Taxonomies | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: CO 0039614) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2022-04-01 |