| NPI | 1134156813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine Hospice and Palliative Medicine (Licence: FL ME94134) |
| Additional Taxonomies | 207QA0505X Family Medicine Adult Medicine (Licence: FL ME94134) |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2023-03-07 |