NPI | 1679214654 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 5315232202) |
Additional Taxonomies | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: MI 4351049197) |
Enumeration Date | 2022-04-05 |
Last Update Date | 2025-06-24 |