| NPI | 1962904631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: PR 22818) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: PR 22818) |
| 207Q00000X Family Medicine (Licence: PR 22818) | |
| Enumeration Date | 2018-03-08 |
| Last Update Date | 2025-12-02 |