NPI | 1154828796 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208M00000X Hospitalist (Licence: TN 4331) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: TN 4331) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2018-04-10 |
Last Update Date | 2021-08-30 |