| NPI | 1629562368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 286411) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MA 286411) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MA 276092) | |
| Enumeration Date | 2018-06-17 |
| Last Update Date | 2021-06-03 |