| NPI | 1063620722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: FL ME134775) |
| Additional Taxonomies | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: NC 2010-00028) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: VA 0116018187) | |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2019-05-08 |