| NPI | 1407219835 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 83309) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 83309) |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: GA 83309) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-04-02 |
| Last Update Date | 2022-03-29 |