| NPI | 1831313923 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: NH 14468)  | 
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NH 14468)  | 
| Enumeration Date | 2007-04-12 | 
| Last Update Date | 2025-10-16 |