| NPI | 1841618683 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME134588) |
| Additional Taxonomies | 207QH0002X Family Medicine Hospice and Palliative Medicine (Licence: NY 306695-01) |
| Enumeration Date | 2014-03-30 |
| Last Update Date | 2024-01-17 |