| NPI | 1700221694 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: VA 0101266874) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101266874) |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: VA 0101266874) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-05-06 |
| Last Update Date | 2019-05-27 |