NPI | 1609371814 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208M00000X Hospitalist (Licence: MO 2022035834) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2018020632) |
390200000X Student in an Organized Health Care Education/Training Program | |
207R00000X Internal Medicine (Licence: MO 2018020632) | |
Enumeration Date | 2018-03-28 |
Last Update Date | 2024-10-09 |