| NPI | 1184068660 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 86191) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME126916) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-04-26 |
| Last Update Date | 2021-03-02 |