NPI | 1134758204 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: PA OS023011) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA OS023011) |
207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: PA OT020383) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2020-04-02 |
Last Update Date | 2025-08-05 |