| NPI | 1043400120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD60624122) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 208M00000X Hospitalist (Licence: NJ 25MA08648700) | |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2016-08-04 |