| NPI | 1558571109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: PA OS018997) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 1089) |
| 207R00000X Internal Medicine (Licence: WV 2096) | |
| 207R00000X Internal Medicine (Licence: PA OS018997) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: AL DO.1624) | |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2022-12-06 |