| NPI | 1609907955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine Hospice and Palliative Medicine (Licence: NC 02390) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 39097) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2025-06-10 |