NPI | 1356729420 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208M00000X Hospitalist (Licence: TN 59267) |
Additional Taxonomies | 208000000X Pediatrics (Licence: TN 0000059267) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2015-05-11 |
Last Update Date | 2022-03-23 |