| NPI | 1013601012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NC 2026-02697) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL TRN37142) |
| Enumeration Date | 2023-06-05 |
| Last Update Date | 2026-08-28 |