NPI | 1710419825 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX S9187) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 322407) |
208M00000X Hospitalist (Licence: LA 322374) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2017-03-28 |
Last Update Date | 2021-08-03 |