| NPI | 1518285956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: GA 074696) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: GA 074696) | |
| Enumeration Date | 2010-05-10 |
| Last Update Date | 2015-10-27 |