| NPI | 1629325774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101256761) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207R00000X Internal Medicine (Licence: IL 036139258) | |
| 208M00000X Hospitalist (Licence: IL 036139258) | |
| Enumeration Date | 2012-08-08 |
| Last Update Date | 2016-09-21 |