| NPI | 1215589916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine Hospice and Palliative Medicine (Licence: AZ 69783) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MT218083) |
| Enumeration Date | 2019-07-12 |
| Last Update Date | 2023-09-26 |