| NPI | 1588697882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine Hospice and Palliative Medicine (Licence: MI 4301053281) |
| Additional Taxonomies | 207QH0002X Family Medicine Hospice and Palliative Medicine (Licence: FL ME120659) |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2021-03-03 |