| NPI | 1750769311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0002X Internal Medicine Hospice and Palliative Medicine (Licence: MO 2019001309) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI LP03326) |
| 207R00000X Internal Medicine (Licence: WA MD61154764) | |
| Enumeration Date | 2015-05-14 |
| Last Update Date | 2023-04-28 |