| NPI | 1760985592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine Hospice and Palliative Medicine (Licence: KY 59290) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207QH0002X Family Medicine Hospice and Palliative Medicine (Licence: IN 01093963A) | |
| Enumeration Date | 2018-03-18 |
| Last Update Date | 2025-07-26 |