| NPI | 1003134594 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: VA 0101254249) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT197401) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT197401) | |
| Enumeration Date | 2010-05-10 |
| Last Update Date | 2020-10-20 |