| NPI | 1508359837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: MA 1022416) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0101268406) |
| Enumeration Date | 2018-06-12 |
| Last Update Date | 2026-07-08 |