| NPI | 1801849716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: GA 60239) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 4301063729) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2023-12-19 |