| NPI | 1154899292 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CT CT-68899) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 68899) | 
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-11-07 | 
| Last Update Date | 2021-09-09 |