NPI | 1568862399 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208M00000X Hospitalist (Licence: VA 0101269733) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
207Q00000X Family Medicine (Licence: VA 0101269733) | |
Enumeration Date | 2014-08-29 |
Last Update Date | 2023-07-21 |