| NPI | 1003555780 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MO 2025036600)  | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2025036600)  | 
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2022-06-01 | 
| Last Update Date | 2025-08-27 |