| NPI | 1235626201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: FL 177406) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 308901-01) |
| Enumeration Date | 2018-04-16 |
| Last Update Date | 2025-10-16 |