| NPI | 1134745078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: VT 032.0134200) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NH RT-3643) |
| Enumeration Date | 2020-06-16 |
| Last Update Date | 2024-08-21 |