NPI | 1154811719 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 87925) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: GA 87925) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2018-05-18 |
Last Update Date | 2021-09-28 |