| NPI | 1356703755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: LA 310701) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 88664) |
| 208M00000X Hospitalist (Licence: KY C2811) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-03-24 |
| Last Update Date | 2024-10-25 |