| NPI | 1881045839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: MI 5101022825) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 5101022825) |
| Enumeration Date | 2016-06-30 |
| Last Update Date | 2024-09-23 |