| NPI | 1851882435 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: PA MD475857) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MT214968) |
| Enumeration Date | 2018-05-19 |
| Last Update Date | 2022-12-20 |