| NPI | 1649067703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: SC 30287) |
| Additional Taxonomies | 207PH0002X Emergency Medicine, Hospice and Palliative Medicine (Licence: SC 30287) |
| Enumeration Date | 2025-04-22 |
| Last Update Date | 2025-04-22 |