| NPI | 1083065627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AZ 70503) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 300107) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-06-24 |
| Last Update Date | 2024-01-16 |