| NPI | 1982789798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: VA 0101251163) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MD D0072238) |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2024-04-17 |