| NPI | 1982229076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: TN 5267) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 11918) |
| Enumeration Date | 2020-06-15 |
| Last Update Date | 2025-03-26 |