| NPI | 1659763365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MI 5101021778) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207R00000X Internal Medicine (Licence: MI 5101021778) | |
| Enumeration Date | 2015-03-04 |
| Last Update Date | 2020-09-09 |