NPI | 1356617823 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME118682) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME118682) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2012-03-28 |
Last Update Date | 2022-10-03 |