| NPI | 1164868485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301508695) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0101267008) |
| 207Q00000X Family Medicine (Licence: NC 2015-00635) | |
| 208M00000X Hospitalist (Licence: NC 2015-00635) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-05-14 |
| Last Update Date | 2023-07-27 |