NPI | 1871938712 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2017-01211) |
Additional Taxonomies | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: NC 2017-01211) |
208000000X Pediatrics (Licence: NC 2017-01211) | |
390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 191498) | |
Enumeration Date | 2013-05-06 |
Last Update Date | 2023-06-08 |