| NPI | 1720264575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME101936) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME101936) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT186838) | |
| Enumeration Date | 2008-01-10 |
| Last Update Date | 2019-10-29 |