| NPI | 1194780486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: NC 2020-03937) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 122030) |
| 207Q00000X Family Medicine (Licence: WI 47232) | |
| 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: FL ME135364) | |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2021-05-04 |