| NPI | 1619301256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: NM MD2020-1052) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A127104) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-08-31 |
| Last Update Date | 2023-09-12 |