| NPI | 1407096233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY 49109) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: KY 49109) |
| 246RH0600X Technician, Pathology Histology | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MN 22544) | |
| Enumeration Date | 2009-03-06 |
| Last Update Date | 2021-08-03 |