| NPI | 1619287075 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A115857)  | 
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: AZ 0000000000000)  | 
| Enumeration Date | 2010-10-19 | 
| Last Update Date | 2017-10-24 |