| NPI | 1245753607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: WV 31050) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: WV 31050) |
| 2278P3800X Respiratory Therapist, Certified, Palliative/Hospice | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-07-18 |
| Last Update Date | 2022-10-31 |