| NPI | 1255866463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: MI 4301502101) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301502101) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 227343) | |
| Enumeration Date | 2017-04-25 |
| Last Update Date | 2025-10-03 |