| 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 |