| NPI | 1659553626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: VA 0101264991) |
| Additional Taxonomies | 2080H0002X (Licence: VA 0101264991) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2007-12-03 |
| Last Update Date | 2021-07-14 |