| NPI | 1568862399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D0090060) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0101269733) |
| 208M00000X Hospitalist (Licence: VA 0101269733) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-08-29 |
| Last Update Date | 2024-10-10 |