| NPI | 1679064604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME151485) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME151485) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT215058) | |
| Enumeration Date | 2018-05-25 |
| Last Update Date | 2023-11-16 |