| NPI | 1629715925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: ME TP2207) |
| Additional Taxonomies | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: ME TP2207) |
| Enumeration Date | 2022-05-18 |
| Last Update Date | 2025-08-05 |