NPI | 1649731498 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO 2019020874) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: IN 01087892A) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2019-03-26 |
Last Update Date | 2022-10-11 |