| NPI | 1518225978 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MO 2020011591) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA MD-42506) | 
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-04-24 | 
| Last Update Date | 2020-06-04 |