| NPI | 1932763695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine Hospice and Palliative Medicine (Licence: NC 2023-02267) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 2023-02267) |
| 207RH0002X Internal Medicine Hospice and Palliative Medicine (Licence: FL ME155632) | |
| Enumeration Date | 2019-04-29 |
| Last Update Date | 2023-08-22 |