| NPI | 1609169044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NC 2020-03941) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101252451) |
| 208D00000X General Practice (Licence: VA 0101252451) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-05-18 |
| Last Update Date | 2021-05-12 |