NPI | 1205020450 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VH0002X Obstetrics & Gynecology Hospice and Palliative Medicine (Licence: FL ME 129681) |
Additional Taxonomies | 2085H0002X Radiology Hospice and Palliative Medicine (Licence: MA 233623) |
Enumeration Date | 2007-08-30 |
Last Update Date | 2017-01-26 |