NPI | 1811376775 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: MD D89995) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL TRN 21218) |
Enumeration Date | 2015-05-26 |
Last Update Date | 2024-01-05 |