| NPI | 1689038564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: VA 0101269594) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0101269594) |
| Enumeration Date | 2016-04-07 |
| Last Update Date | 2026-06-29 |