| NPI | 1003304882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 87827) |
| 208M00000X Hospitalist (Licence: GA 87827) | |
| Enumeration Date | 2018-04-26 |
| Last Update Date | 2021-04-23 |