| NPI | 1992264261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: MI 4301509088) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 4301509088) |
| Enumeration Date | 2019-03-17 |
| Last Update Date | 2024-08-14 |