NPI | 1003001884 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: FL ME142052) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 4301061270) |
Enumeration Date | 2007-09-13 |
Last Update Date | 2022-02-04 |