| NPI | 1538522297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine Hospice and Palliative Medicine (Licence: GA 91332) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 217714) |
| 207Q00000X Family Medicine (Licence: MN 65354) | |
| Enumeration Date | 2016-03-31 |
| Last Update Date | 2022-04-15 |