| NPI | 1629506761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 63531) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: TN 63531) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: IN 11019301A) | |
| Enumeration Date | 2017-06-02 |
| Last Update Date | 2022-03-23 |