| NPI | 1134616451 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: VA 0102208800)  | 
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0102208800)  | 
| Enumeration Date | 2018-04-23 | 
| Last Update Date | 2024-11-19 |