| NPI | 1952758252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: PA OS019014) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA OT016896) |
| 207Q00000X Family Medicine (Licence: PA OS019014) | |
| Enumeration Date | 2016-05-17 |
| Last Update Date | 2023-02-28 |