| NPI | 1386761567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine Hospice and Palliative Medicine (Licence: ME MD18653) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ME MD18653) |
| 207QG0300X Family Medicine Geriatric Medicine (Licence: ME MD18653) | |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2014-01-17 |