| NPI | 1336503572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A154978) |
| Additional Taxonomies | 2080H0002X (Licence: CA A154978) |
| 2084H0002X (Licence: CA A154978) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A154978) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-04-13 |
| Last Update Date | 2021-09-17 |