| NPI | 1770994337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: MA 276529) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX BP10050942) |
| Enumeration Date | 2014-05-16 |
| Last Update Date | 2022-07-21 |