NPI | 1407341647 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: FL ME144224) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL TRN26730) |
207Q00000X Family Medicine (Licence: FL 144224) | |
207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: FL 144224) | |
207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: FL ME144224) | |
Enumeration Date | 2018-06-29 |
Last Update Date | 2022-07-29 |