| NPI | 1710548037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL 4979R) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TN 00000) |
| 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: AL DO.2781) | |
| Enumeration Date | 2019-06-26 |
| Last Update Date | 2024-08-07 |