| NPI | 1194385559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: MD D97402) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MT217589) |
| Enumeration Date | 2019-06-18 |
| Last Update Date | 2023-07-21 |