| NPI | 1033650551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ACN1020) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 19737) |
| 208M00000X Hospitalist (Licence: FL ACN1020) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PR 14217-I) | |
| Enumeration Date | 2017-03-16 |
| Last Update Date | 2023-07-11 |