| NPI | 1336432129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WA MD60612810) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301098692) |
| 207R00000X Internal Medicine (Licence: MI 4301098692) | |
| 208000000X Pediatrics (Licence: MI 4301098692) | |
| Enumeration Date | 2011-05-26 |
| Last Update Date | 2017-05-19 |