| NPI | 1659525459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: GA 066030) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A111123) |
| 207R00000X Internal Medicine (Licence: MN 57732) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-11-06 |
| Last Update Date | 2023-05-11 |