| NPI | 1528261302 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: FL ME92320) |
| Additional Taxonomies | 207QA0000X Family Medicine, Adolescent Medicine (Licence: NY 205825) |
| 207QA0000X Family Medicine, Adolescent Medicine (Licence: FL ME 92320) | |
| 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: NY 205825) | |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2021-03-30 |