| NPI | 1538853064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CT 85873) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CT 85873) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4351051182) | |
| Enumeration Date | 2023-06-07 |
| Last Update Date | 2026-07-10 |