NPI | 1073805974 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 077708) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 011153) |
208M00000X Hospitalist (Licence: OH 34.011153) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2011-05-10 |
Last Update Date | 2018-03-17 |