| NPI | 1366793861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 89989) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0102203684) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: VA 0116025396) | |
| 207Q00000X Family Medicine (Licence: GA 89989) | |
| Enumeration Date | 2012-09-24 |
| Last Update Date | 2023-01-23 |