NPI | 1568629061 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: TX Q7758) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 254002) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 254002) | |
Enumeration Date | 2008-05-21 |
Last Update Date | 2021-09-17 |