| NPI | 1770046617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: UT 13248644-1205) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: UT 13248644-1205) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-04-08 |
| Last Update Date | 2023-12-20 |