| NPI | 1609253525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301510789) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY R3785) |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: OH 57.245329) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-04-29 |
| Last Update Date | 2024-01-15 |