NPI | 1629607718 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 65311) |
Additional Taxonomies | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: AZ 65311) |
2086H0002X Surgery, Hospice and Palliative Medicine (Licence: AZ 65311) | |
Enumeration Date | 2020-04-02 |
Last Update Date | 2024-10-04 |