| NPI | 1710115191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX Q5747) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MA 240964) |
| 208M00000X Hospitalist (Licence: MA 247117) | |
| Enumeration Date | 2009-06-24 |
| Last Update Date | 2016-04-06 |