| 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 |