| NPI | 1760413090 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME127764) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 2000-01059) |
| 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: NC 200001059) | |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2021-09-13 |