| NPI | 1922397132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine Hospice and Palliative Medicine (Licence: FL ME119616) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME119616) |
| Enumeration Date | 2011-03-29 |
| Last Update Date | 2021-03-30 |