| NPI | 1740579861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: VA 0101256448) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0101256448) |
| Enumeration Date | 2011-03-29 |
| Last Update Date | 2022-07-22 |