| NPI | 1346602596 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: SC DO83062)  | 
| Additional Taxonomies | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: SC DO83062)  | 
| Enumeration Date | 2016-03-27 | 
| Last Update Date | 2025-01-29 |