| NPI | 1124315049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: KY 03886) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OS017089) |
| Enumeration Date | 2011-06-29 |
| Last Update Date | 2022-02-25 |