| NPI | 1457643066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY 47749) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY R2830) |
| 208000000X Pediatrics (Licence: KY 47749) | |
| 208M00000X Hospitalist (Licence: KY 47749) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-05-15 |
| Last Update Date | 2020-12-01 |