| NPI | 1376753822 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME105311) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC 82168) |
| 207Q00000X Family Medicine (Licence: NH 17914) | |
| 208M00000X Hospitalist (Licence: SC 82168) | |
| 208M00000X Hospitalist (Licence: NH 17914) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2024-04-25 |