| NPI | 1194107862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX S7769) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 294486) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-06-18 |
| Last Update Date | 2021-03-29 |