| NPI | 1447798525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WI 72451) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2021-02176) |
| 207R00000X Internal Medicine (Licence: MI 5101023465) | |
| 208M00000X Hospitalist (Licence: NC 2021-02176) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-02-08 |
| Last Update Date | 2022-04-28 |