| NPI | 1174103105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 101280356) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: FL ME169145) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 207Q00000X Family Medicine (Licence: FL ME169145) | |
| Enumeration Date | 2021-04-13 |
| Last Update Date | 2024-12-04 |