| NPI | 1285983015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: NY 323184) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MA 265060) |
| 207Q00000X Family Medicine (Licence: PA MD469516) | |
| Enumeration Date | 2012-09-07 |
| Last Update Date | 2023-07-11 |