| 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 |